Ponhold W
Radiologe. 1981 Oct;21(10):455-8.
Chest x-rays of 17 newborns suffering from hemorrhage of the lung were analysed with special respect to kind of shadow and translucency. Most significant findings were fine-grained, coarse-spotted, striated, and homogeneous shadows, indicating the hemorrhage. Differentiation of hyaline membranes in most cases is easy, whereas difficulties are arising for differentiation of hemorrhage and interstitial edema in cardiac decompensation and especially in shunt-heart defects. Differentiation with respect to pneumonic infiltrations is not possible except in white lungs, although signs of emphysema are giving indirect indication to a pneumonic infiltration. chest x-rays are very useful to find out shadows, to differentiate other reasons of a respiratory distress syndrome, and for follow-up investigations.
对17例肺出血新生儿的胸部X光片进行了分析，特别关注阴影类型和透明度。最显著的发现是细颗粒状、粗斑点状、条纹状和均匀阴影，提示出血。在大多数情况下，透明膜的鉴别很容易，而在心脏代偿失调尤其是分流性心脏缺陷中，出血与间质性水肿的鉴别存在困难。除了白色肺脏外，与肺炎性浸润无法鉴别，尽管肺气肿迹象间接提示有肺炎性浸润。胸部X光片对于发现阴影、鉴别呼吸窘迫综合征的其他原因以及进行随访检查非常有用。
